| NPI | 1114140639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 83693) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 29044) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-08-07 |